CODY SCOTT BOLING

GEORGETOWN, TX
NPI1841701943
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TX  AT4099)
Enumeration Date2017-10-16
Last Update Date2017-10-16
Business Address
Mr. CODY SCOTT BOLING LAT
4490 E UNIVERSITY AVE
GEORGETOWN, TX 78626-7877
Phone number: 512-943-1800
Mailing Address
Mr. CODY SCOTT BOLING LAT
414 THUNDERBAY DR
GEORGETOWN, TX 78626-6305
Phone number:
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